DR. SAMUEL PARK PHD
NPI 1205222510
Psychologist - Clinical in Richmond, VA

Q: What is Samuel Park's NPI number?

The NPI number for Samuel Park is 1205222510. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Q: What is Samuel Park's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Park was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 13, 2015

1201 BROAD ROCK BLVD, RICHMOND, VA 23249(804) 675-5000 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Samuel Park Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMUEL PARK PHD (NPI 1205222510) is an individual clinical provider in Richmond, Virginia, licensed in Virginia (0810005121) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1205222510

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SAMUEL PARKCredential: PHD

Location Address1201 BROAD ROCK BLVDRichmond, VA 23249-0001

Mailing Address1201 Broad Rock BlvdRichmond, VA 23249-0001 · (804) 675-5000

Phone(804) 675-5000

Sole ProprietorYes

Enumeration DateApril 13, 2015

Last NPPES UpdateJuly 25, 2019

✔ NPI 1205222510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VA · 0810005121

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1201 BROAD ROCK BLVD, Richmond, VA 23249

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS MYLADY TIRADO P.T.A

Physical Therapy Assistant

1201 BROAD ROCK BLVD
RICHMOND, VA 23249

Richmond City (804) 675-6588

DR. KATHERINE LEIVY PSYD

Psychologist (Clinical)

1201 BROAD ROCK BLVD
RICHMOND, VA 23249

Richmond City (804) 675-5000

MR. MICHAEL N MARTIN FNP-BC

Nurse Practitioner (Primary Care)

1201 BROAD ROCK BLVD
RICHMOND, VA 23249

Richmond City (804) 675-5000

DR. PAUL WEISZ-CARRINGTON MD

Pathology (Anatomic Pathology & Clinical Pathology)

1201 BROAD ROCK BLVD, 113
RICHMOND, VA 23249

Richmond City (804) 794-9396

MRS. KIMBERLY JO POWELL OTR/L

Occupational Therapist

1201 BROAD ROCK BLVD
RICHMOND, VA 23249

Richmond City (804) 675-5000

MRS. PEGGY CHARLENE CARL

Pharmacist

1201 BROAD ROCK BLVD
RICHMOND, VA 23249

Richmond City (804) 675-5000

MISS STEPHANIE JEANNE SHERMAN REGISTERED DIETITIAN

Dietitian, Registered

1201 BROAD ROCK BLVD, VA MEDICAL CENTER
RICHMOND, VA 23249

Richmond City (804) 675-5000

DR. LAUREL HACKETT PT

Physical Therapist

1201 BROAD ROCK BLVD
RICHMOND, VA 23249

Richmond City (804) 675-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Park's NPI number?

The NPI number for Samuel Park is 1205222510. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Where is Samuel Park located?

Samuel Park practices at 1201 Broad Rock Blvd, Richmond, VA 23249. The listed phone number is (804) 675-5000.

What is Samuel Park's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Samuel Park was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.